| NPI | 1225368160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27054722A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703097636) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2009-12-27 |